Individual
JAMIRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14489 JOHN HUMPHREY DR STE 1, ORLAND PARK, IL 60462-2671
(708) 364-1205
(708) 364-1265
Mailing address
PO BOX 3363, OAK PARK, IL 60303-3363
(312) 890-3544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019072
IL
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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